| NPI | 1386047736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4479) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005402) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2019-08-13 |