| NPI | 1336681402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86021035) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004719) |
| 133V00000X Dietitian, Registered | |
| 133V00000X Dietitian, Registered (Licence: FL 7336845) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-11-07 |