NPI | 1245773985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: FL RN 9402869) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704126485) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN9402869) | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |