| NPI | 1205180932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01070265) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 01070265) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2022-09-13 |