| NPI | 1356923577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4264) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI200001231) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-11-22 |