NPI | 1467694034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.011561) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 041.205591) |
Enumeration Date | 2009-03-29 |
Last Update Date | 2014-06-17 |