| NPI | 1407494875 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: FL 4383)  | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 4383)  | 
| 133V00000X Dietitian, Registered (Licence: FL 4383)  | |
| Enumeration Date | 2019-12-17 | 
| Last Update Date | 2019-12-17 |