| NPI | 1043718604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001228684) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 09620123) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-07-21 |