| NPI | 1083162341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 083783) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2016027322) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |