| NPI | 1841287182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 505) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NM 09315463) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |