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