| NPI | 1396803391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN147207) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: TX 652861) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-10-29 |