| NPI | 1831481233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP1069A) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ID N17707) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2012-02-22 |