| NPI | 1215428818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 01096652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 600088-1) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 21510265) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |