| NPI | 1932650207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 264712-3102) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 264712-3102) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |