| NPI | 1386980316 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 1080646)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DE DN-0000488)  | 
| 133V00000X Dietitian, Registered (Licence: DE DN0000488)  | |
| Enumeration Date | 2012-12-19 | 
| Last Update Date | 2024-05-13 |