| NPI | 1154723302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 133V00000X) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-08-13 |