| NPI | 1063898195 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1017495)  | 
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | 
| Enumeration Date | 2015-07-30 | 
| Last Update Date | 2020-08-05 |