NPI | 1053427211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 358712-3102) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 358712-4901) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2022-09-28 |