| NPI | 1194317321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 3031) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 86101096) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-05-14 |