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 |