| NPI | 1679593545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002033) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: NC L002033) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |