| NPI | 1558136796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 085566) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: PR 085566) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: PR 085566) | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-28 |