NPI | 1700343043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN2508122) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL CDE09910404) |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-02-22 |