| NPI | 1164690236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 099824) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 099824) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2023-02-10 |