| NPI | 1235548629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3441) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2025-07-15 |