| NPI | 1538151162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332267) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY F332267) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 2222-0372) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-07-17 |