NPI | 1962980060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: LA 131833) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 767480) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2018-07-31 |