| NPI | 1639506272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN52452) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN52452) |
| 163WH0200X Registered Nurse, Home Health (Licence: RI RN52452) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |