NPI | 1750857587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24868) |
Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: TN 24868) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2023-10-10 |