| NPI | 1346764164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86044158) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164007159) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-02-28 |