| NPI | 1427076025 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 10864953-4901) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 00893) | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2022-09-29 |