| NPI | 1609990381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4542) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WI 126927-030) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-09-08 |