| NPI | 1134736556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3416-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-12-01 |