| NPI | 1588813745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC R83124) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC 2081-0296) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC AG0115076) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-06-25 |