| NPI | 1376904664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004515) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86021177) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-11-01 |