| NPI | 1134505563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10177815) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2022-10-19 |