| NPI | 1083493670 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN46486)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: RI RN46486)  | 
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN46486)  | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: RI RN46486)  | |
| Enumeration Date | 2023-09-25 | 
| Last Update Date | 2023-09-25 |