| NPI | 1508135070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK LD705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R23475) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |