| NPI | 1588908677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001718) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NJ00399700) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-11-24 |