| NPI | 1811191554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CT 00245 CD N) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 000245 RD) |
| 163W00000X Registered Nurse (Licence: CT E31188 RN MS) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |