| NPI | 1184499816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 2271) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 148239) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-02-08 |