| NPI | 1083937148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 19568) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: CA 559188) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2021-10-24 |