NPI | 1699972349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 0003629 SUPV) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN. 181935) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-09-25 |