| NPI | 1174232383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD 86150667) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 2701) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2026-04-07 |