| NPI | 1801425079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001231002) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 21900313) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |