| NPI | 1184954539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 20320510) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-10-12 |