| NPI | 1578924973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse Diabetes Educator (Licence: NJ 26N011138800) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 715058) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |