NPI | 1306920525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169035) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: HI APRN94) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: HI RN45924) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-09-17 |