| NPI | 1134752447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86088986) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2024-04-09 |