| NPI | 1265665616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005474) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 20510119) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2020-09-01 |