| NPI | 1235343427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001647) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA LD001647) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-12-08 |