NPI | 1326415845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 277-000568) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013308) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2023-03-08 |