| NPI | 1255158903 |
|---|---|
| Former Name | ELLEN CHRISTINE HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 663515) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |