| NPI | 1497190045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 442985) |
| Additional Taxonomies | 163WN1003X Registered Nurse Nutrition Support (Licence: CA 442985) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-06-06 |