| NPI | 1205163359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN001150) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV RN47022) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2024-10-30 |