| NPI | 1134488919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5542) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN9259740) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |