| NPI | 1164974838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics (Licence: NC L004559) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004559) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2025-06-16 |