| NPI | 1164998522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 835) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: SC 835) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: SC 835) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-11-28 |