| NPI | 1265202238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN232156) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: GA KN-000389) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-11 |