| NPI | 1063535045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 335) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-17 |