| NPI | 1285722132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD2861) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 674960) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: OH 09610079) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |