| NPI | 1134641723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1040375) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 1040375) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |