| NPI | 1154518256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA RN185977) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002413) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |