| NPI | 1114499142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: NE 86237) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NE 86237) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-08-11 |