| NPI | 1114510732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704167921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704167921) |
| 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: MI 4704167921) | |
| 163WH1000X Registered Nurse, Hospice (Licence: MI 4704167921) | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |