| NPI | 1962829713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP5393) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: AZ 32300265) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2024-04-19 |