| NPI | 1801007422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 041132189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000706) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |