| NPI | 1629330600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: FL RN1312552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL Rn1312552) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN1312552) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |