| NPI | 1053889725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AL 1-181285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 905142) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 21800606) | |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2022-06-10 |