NPI | 1053633677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS 0123456) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MS 0123456) |
163WN1003X Registered Nurse, Nutrition Support (Licence: MS 0123456) | |
163WW0000X Registered Nurse, Wound Care (Licence: MS 0123456) | |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |