| NPI | 1134305329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: AZ RN157679)  | 
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN R 135268-9)  | 
| Enumeration Date | 2008-01-17 | 
| Last Update Date | 2011-01-04 |