| NPI | 1518006469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 111246) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NE 30226) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-08-25 |