| NPI | 1184145492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 129960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1105645) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-03-17 |