| NPI | 1992735146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 047608) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 047608) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |