| NPI | 1558321844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 053177-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN275756) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NH 053177-23) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-05-08 |