| NPI | 1235696642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3436-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86108905) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-01-27 |