| NPI | 1063040830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01044366) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006094) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2023-03-30 |