| NPI | 1699420380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86088589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 000915229) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |