| NPI | 1184245441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 307455) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 9398051-3102) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2026-01-30 |