| NPI | 1003271727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10202533) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10173907) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2019-12-03 |