| NPI | 1235989526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X (Licence: A-3888831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2271756) |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: MN 2271756) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: MN 2271756) | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |