| NPI | 1225529795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA 21600700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN283319) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |