| NPI | 1871878702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 647091-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 647091-1) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 647091-1) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |