| NPI | 1033861398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 28118) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA 21900896) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-08-08 |