| NPI | 1144611476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3403) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D01566) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2024-04-10 |