| NPI | 1427353978 |
|---|---|
| Former Name | PAMELA J. STEPHENSON DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN001253) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2023-02-07 |