| NPI | 1598795965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SC 412184648) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 02720) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-12-31 |