| NPI | 1073929162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11610) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NV RN75400) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 810890) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: AZ RN171878) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-08-08 |