NPI | 1588012751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC APRN 832) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC APRN 832) |
Enumeration Date | 2016-05-29 |
Last Update Date | 2016-05-29 |