| NPI | 1952342552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 41198286) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 209003226) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |