| NPI | 1164735312 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL 9406121) | 
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 440921) | 
| Enumeration Date | 2010-07-16 | 
| Last Update Date | 2017-02-24 |