| NPI | 1780461764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95210516) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: CA 32300565) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |