| NPI | 1083853436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN001113) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV RN44821) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-05-11 |