| NPI | 1114311990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: GA LPN082215) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN082215) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |