| NPI | 1801921960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01668) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM R30557) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: NM R30557) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-10-25 |