| NPI | 1558514489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 20410432) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011861) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2019-12-04 |