| NPI | 1295111540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004954) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2023-10-18 |