| NPI | 1225428360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004396) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3049) |
| 133V00000X Dietitian, Registered (Licence: SC 1251) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |