NPI | 1295187607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 0001163748) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001163748) |
163WN1003X Registered Nurse, Nutrition Support (Licence: VA 0001163748) | |
Enumeration Date | 2016-07-09 |
Last Update Date | 2016-07-09 |