| NPI | 1568665206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110904) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NE 42009) |
| 363L00000X Nurse Practitioner (Licence: NE 110904) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-11-02 |