NPI | 1346600848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019629) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA RN637111) |
363L00000X Nurse Practitioner (Licence: PA SP019629) | |
Enumeration Date | 2016-02-26 |
Last Update Date | 2021-03-25 |