| NPI | 1003830761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 2048704405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 204870) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-01-31 |