| NPI | 1053835314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 140) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 1497) |
| 133V00000X Dietitian, Registered (Licence: AL 3389) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2025-06-12 |