| NPI | 1184350647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906958) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS 851904) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-09-26 |