| NPI | 1730785718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704304217) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MI 4704304217) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2022-04-15 |