| NPI | 1659899649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 278888)  | 
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 278888)  | 
| Enumeration Date | 2017-08-30 | 
| Last Update Date | 2022-07-21 |