| NPI | 1154889962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 5098) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-1278) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2023-02-01 |