| NPI | 1376945733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1072754) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-0950) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-05-17 |