NPI | 1326428087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19964) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TN 20210308) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2020-06-24 |