NPI | 1881040970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95021201) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 742501) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 95021201) | |
Enumeration Date | 2016-05-09 |
Last Update Date | 2023-08-07 |