| NPI | 1811594526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NE 86457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 114213) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-10-25 |