| NPI | 1194385930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: MI 4704170224) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: MI 4704170224) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |