| NPI | 1083708754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-099427) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AL 1-099427) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-14 |