| NPI | 1194053637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R30038) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 14565) |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: TN 135592) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2023-10-16 |