| NPI | 1174162572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN0006020) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006020) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-08-12 |