| NPI | 1023641362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1029698) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 35989-DI) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-08-11 |