| NPI | 1134492762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD154 R504396) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM R65842) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |