| NPI | 1073529822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN000838) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN000838) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 67914) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 536283) | |
| 363L00000X Nurse Practitioner (Licence: NV APRN000838) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 12738) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV RN47814) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-11-11 |