| NPI | 1356037436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 002338) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 6061) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |