| NPI | 1992239404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MS 64547) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MS 903953) |
| 163W00000X Registered Nurse (Licence: MS 903953) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MS 903953) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-05-01 |