| NPI | 1760968994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 401043) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 401042) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |