| NPI | 1245501584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 953636) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-0719) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2024-01-03 |