| NPI | 1114985553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 3319704405) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 331970-4405) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-11-27 |