NPI | 1639495260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 2092-0587) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 493495-01) |
163W00000X Registered Nurse (Licence: NJ 26NR13674100) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |