| NPI | 1639363062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM R444454) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NM R44454) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |