| NPI | 1316264005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NV APRN001163) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NV RN34129) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-06-19 |