| NPI | 1174227375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86102043) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 9441) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |