| NPI | 1376911719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4296) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004540) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-06-10 |