| NPI | 1629210661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 603341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 740897) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |