| NPI | 1275207813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86038184) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 175211) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |