NPI | 1760217004 |
---|---|
Former Name | EVELYN SORPHONIA RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN3088062) |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |