| NPI | 1407087273 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN336250) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: 812016) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2011-04-26 |