| NPI | 1215587639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN85384) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NV RN85384) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |