| NPI | 1124207758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 56780) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NC 056780) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2015-10-05 |