| NPI | 1174553325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 851068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS 851068) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-04-16 |