| NPI | 1700187200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND1982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN1370312) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-03-24 |