| NPI | 1346667722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 239896) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002193) |
| 133V00000X Dietitian, Registered (Licence: IL 719491) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-08-08 |