| NPI | 1093161580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007606) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4102) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2021-11-19 |