| NPI | 1902320682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R31286) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ND 21600838) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-03-14 |