| NPI | 1972986594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse Diabetes Educator (Licence: GA RN141052) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2024-04-02 |