| NPI | 1215388756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004939) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-02-14 |