| NPI | 1063927614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006110) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 009198-1) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-09-03 |