| NPI | 1427597806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A165730) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IA 113088) |
| 363L00000X Nurse Practitioner (Licence: IA 113088) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2024-03-18 |