| NPI | 1235890062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA DEETER Owner 775-982-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 208000000X Pediatrics | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |