| NPI | 1699227892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A182773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115857) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: IA 134722) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2025-03-10 |