| NPI | 1083152102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 117888) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: LA 117888) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: LA 117888) | |
| 163WG0000X Registered Nurse, General Practice (Licence: LA 117888) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: LA 117888) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |