| NPI | 1063986578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA 636031) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: PA 636031) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |