| NPI | 1619335676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PA RN162041L) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA 70383105) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |