| NPI | 1033861398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN689173) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: PA 21900896) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |