| NPI | 1902760473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001319444) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 32301209) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |