| NPI | 1275204547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5028) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100001197) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2021-09-25 |