| NPI | 1114595964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-1261) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86084587) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-10-30 |