| NPI | 1942645452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R120751) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: DC RN1025925) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2023-06-16 |