| NPI | 1356831234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 805919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001207565) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |