| NPI | 1336497700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003793) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-07-21 |