| NPI | 1871875351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024774) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PR 1635) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2024-05-09 |