| NPI | 1891330676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 86102487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 001810) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-12-05 |