| NPI | 1003577883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2015034766) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 22204) |
| 133V00000X Dietitian, Registered (Licence: NM LD-1532) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-08-25 |