| NPI | 1346981149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 842095) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 75476) |
| 208000000X Pediatrics (Licence: NV RN94507) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95020917) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-04-02 |