| NPI | 1790409449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN6651) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 261140) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2026-05-22 |