| NPI | 1124413547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 1100) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: OH 7678) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-04-17 |