| NPI | 1467762856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 60035) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ID N32302) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2019-07-03 |