| NPI | 1033549076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R870517) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS R870517) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2021-05-05 |