| NPI | 1831606383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 091000133) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: OR 20610437) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |