| NPI | 1912128091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 567226) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 567226) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-03-27 |