| NPI | 1205435757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID F10200434) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ID 44024) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |