| NPI | 1679833784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY F305792-) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 000575-1) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-02-28 |