| NPI | 1073296257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 234256) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: LA RN110443) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA RN110443) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-01-27 |