| 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 |