| NPI | 1356654289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN1268) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14592700) | |
| 163W00000X Registered Nurse (Licence: CA 708142) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN001268) | |
| 163W00000X Registered Nurse (Licence: NV RN65986) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2014-10-30 |