| NPI | 1275284200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 86143452) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5657-NU-NU) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-10-18 |