| NPI | 1649900655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 67737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67737) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |