NPI | 1205029345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10182758) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR LD-D-10182758) |
133V00000X Dietitian, Registered (Licence: WA DI00001998) | |
Enumeration Date | 2007-08-22 |
Last Update Date | 2021-02-19 |