| NPI | 1093189128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 126) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 707678) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2021-09-09 |