| NPI | 1023767035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 2266) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4618) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-02-01 |