| NPI | 1164473591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8-033) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WI 67440-030) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-05-02 |