| NPI | 1639408834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1064962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 97280) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2016-10-12 |