| NPI | 1891368692 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH 508543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 508543) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-07-31 |