| NPI | 1407465586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86109716) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4918) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-02-09 |