| NPI | 1386141273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 3802) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2771) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-04-20 |