| NPI | 1952525396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355184) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 847969) |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse (Licence: MI 4704380646) | |
| 163W00000X Registered Nurse (Licence: NY 82438701) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 20110545) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NJ 20110545) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704380646) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-11-11 |