| NPI | 1114457298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006165) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000798) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-07-02 |