NPI | 1700187523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1398/RX377) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: HI 40589) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2022-02-22 |