| NPI | 1275083479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 10549194-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005048) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-03-17 |