| NPI | 1326678939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4080) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |