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 |