| NPI | 1104628528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI200001674) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6682) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |