| NPI | 1053634899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 31199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 31199) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: WV 31199) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-24 |