| NPI | 1568581072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV RP0006599) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000013431) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-09-16 |