| NPI | 1710127212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 74673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-48951-021) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 840797) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN R182041-2) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: KS 74673) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2011-07-07 |