| NPI | 1427246578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV APRN000961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV APRN000961) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NV APN000961) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2019-07-30 |