| NPI | 1114689874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3762) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 110763) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-11-24 |