| NPI | 1801054226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY F334603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334603) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F334603) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-06-23 |