| NPI | 1184151318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005694) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005429) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-06-24 |