| NPI | 1265951651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8135-33) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WI 85188-30) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2017-11-13 |