| NPI | 1306302757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 841783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 66398) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-07-20 |