| NPI | 1265791925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2925) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003279) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-07-30 |