| NPI | 1619988136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP01830-RN043104) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: LA 21220393) |
| 363L00000X Nurse Practitioner (Licence: LA 43104) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-12 |