| NPI | 1457088163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 816668) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NC 2068) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |