| NPI | 1275521858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618523-01) |
| 133V00000X Dietitian, Registered (Licence: NY 003897-1) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-11-03 |