| NPI | 1063883270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN51935) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: RI RN51935) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2020-01-22 |