| NPI | 1083018204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60861109) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR LD-D-10190590) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2025-10-30 |