| NPI | 1386160307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3271) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000504) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |