| NPI | 1902830151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 124987-21) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN201534) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO RN046407) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-04-08 |