| NPI | 1114460904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NE 1072) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 1072) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-09-28 |