| NPI | 1104025493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75008) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KS 39536) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2022-02-08 |