| NPI | 1063760130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: RI RN18730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN18730) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2017-09-21 |