| NPI | 1013736289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007804) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 5326) |
| 133V00000X Dietitian, Registered (Licence: IL 164.007343) | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |