| NPI | 1376272419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 12478333-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN007767) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-11-08 |