| NPI | 1972716850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL 1657002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1657002) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-09 |