| NPI | 1679093462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24917) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC 90318) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-11-09 |