| NPI | 1609016104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 175039-1) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 0932-5750) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |