| NPI | 1023013596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R807281) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS 2042-0329) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |