| NPI | 1750881777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4519) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2276190) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-03-29 |