| NPI | 1093868507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA 230081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 230081) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-12-01 |