| NPI | 1033474580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 56889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R49987) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM 2091-0361) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2019-07-11 |