| NPI | 1538350251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 33975) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 190) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2014-12-15 |