| NPI | 1215588512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R018304) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SD 08927259) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |