| NPI | 1053024547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI200001398) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5897) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |