| NPI | 1457753378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25737) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: SC 70358) |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: SC 20120385) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-08-24 |