NPI | 1881036333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 12302) |
Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: CA 497783) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2022-01-20 |