| NPI | 1912449901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0699) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002194) |
| 163W00000X Registered Nurse (Licence: PA RN596814) | |
| 163W00000X Registered Nurse (Licence: NH 069113-21) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |