| NPI | 1568485662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN000826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV APN000826) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-12-31 |