| NPI | 1407363500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86048717) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005721) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-17 |