| NPI | 1003459280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86119587) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2019039025) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-10-16 |