| NPI | 1235616913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-718) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1082713) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |