| NPI | 1215470331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1101X Dietitian, Registered, Nutrition, Gerontological |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10176117) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-10-25 |