| NPI | 1023285459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 4552629-4405) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 4552629-3102) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-09-19 |