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 |