| NPI | 1174800700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN1174971) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |