| NPI | 1083150106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-0000596) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005212) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |