| NPI | 1063601136 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: RI RN21245) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN21245) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2009-06-02 |