| NPI | 1053540377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002396) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 9) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-06-02 |