| NPI | 1528302916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25361) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 478846) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC 25361) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309769) | |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-11-10 |