| NPI | 1073113999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2527) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 86032187) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |