| NPI | 1174773550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 900912) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL NC 175) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |