| NPI | 1053732552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004771A) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IN 71004771A) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2023-10-02 |