| NPI | 1235485483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: LA 840500) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 840500) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |