| NPI | 1053917518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1954) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 86119923) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |