| NPI | 1063041010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 3523) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 168773) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |