NPI | 1336905504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NJ 26NO11044400) |
Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: NJ 26NO11044400) |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-07-06 |