| NPI | 1568034502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904833) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS 862847) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2023-07-15 |