| NPI | 1659764090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 0001074708) |
| Additional Taxonomies | 364SC2300X Clinical Nurse Specialist, Chronic Care (Licence: VA 0015000729) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |