| NPI | 1093194490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: MA RN181984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 062182-21) |
| 163W00000X Registered Nurse (Licence: CT 096438) | |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN181984) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MA RN181984) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA RN181984) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MA RN181984) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |