| NPI | 1396068656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: CA 296770) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2019-12-10 |