NPI | 1134390552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WY 20510510) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 14376) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2012-05-09 |