| NPI | 1629393632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001368) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00276700) |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: NJ 26NJ00276700) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2021-03-15 |