| NPI | 1689027583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 863362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN079860) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |