| NPI | 1326420704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 48790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 48790) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |