| NPI | 1558070706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: CA 698567) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: PA 326409) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: NY 329712) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |