| NPI | 1164765087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3449) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 1010718) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-09-21 |