| NPI | 1063058592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4651) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |