| NPI | 1831538263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 34503) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 202) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |