| NPI | 1184963027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AK 102994) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004075) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2022-05-12 |