| NPI | 1659593291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000143119) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TN RN0000143119) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |