| NPI | 1184198889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 86100836) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2026-05-13 |