| NPI | 1710223367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21149) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NC 21149) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2019-05-29 |