| NPI | 1760541122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA 003201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 252314) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 252314) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-11-17 |