| NPI | 1255946588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 11856205-4901) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: UT 86102339) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-12-01 |