| NPI | 1114330206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86044819) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2013041725) |
| 133V00000X Dietitian, Registered (Licence: KS 1876) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-04-07 |