| NPI | 1972670388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: NC HC3519) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NC HC3519) |
| 374U00000X Home Health Aide (Licence: NC HC3519) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC HC3519) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-01-22 |