| NPI | 1366680787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 036087-23) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: NH 036087-21) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2016-12-07 |