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 |