| NPI | 1770923195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 146467) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L000036) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2013-06-29 |