| NPI | 1194294942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 2018026835) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: VA 1019447) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |