| NPI | 1154948503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MI 86117516) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-11-27 |