| NPI | 1164029385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86080860) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: AZ 86080860) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |