| NPI | 1639506181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R041676) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: SD R041676) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-06-17 |