| NPI | 1205232824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005736) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3706) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2023-01-17 |