| NPI | 1205289766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004508) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86001183) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2021-08-09 |