| NPI | 1245903624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86042713) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2022-02-07 |