| 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 |