| NPI | 1083983084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 1089545) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003881) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2020-10-21 |