| NPI | 1710321526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R28627) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ND R28627) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2015-08-03 |