| NPI | 1154911980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010956) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL APRN11010956) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-12-21 |