| NPI | 1295298560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 959933) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2022-10-10 |