| NPI | 1194172239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 86044893) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10172698) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2021-12-20 |