| NPI | 1043630023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 24734) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 210) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |