| NPI | 1356887236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 251585) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005443) |
| 133V00000X Dietitian, Registered (Licence: MA 4219) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2020-01-02 |