| NPI | 1548418189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206952) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: LA 2108) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: LA 2108) | |
| 133V00000X Dietitian, Registered (Licence: LA 2108) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: LA 2108) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: LA 2108) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: LA 2108) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-01-15 |