| NPI | 1821025164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS 886083) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 135470) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-04-02 |