| NPI | 1104083799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164000434) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 164000434) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-07-21 |