| NPI | 1629549571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND8816) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL 32100507) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-11-30 |