NPI | 1508374455 |
---|---|
Former Name | ANDREA RIVARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: ND 21700804) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN 1827392) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2019-11-20 |