| NPI | 1326372921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R115873) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: DC 60021) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2018-07-25 |