NPI | 1336978576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND12759) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 86343660) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: FL 9563454) | |
Enumeration Date | 2024-07-27 |
Last Update Date | 2025-01-27 |