| NPI | 1699054338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC D1100000373) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3221) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: DC RN1014536) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2024-01-31 |