| NPI | 1356819445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100001004) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4428) |
| 133V00000X Dietitian, Registered (Licence: SC 1211) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |