| NPI | 1780830828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN1054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN44936) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NV TAPN700431) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2019-10-24 |