| NPI | 1114646551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025550) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 95166671) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-12-12 |