| NPI | 1427674191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86103588) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MT MED-NUTR-LIC-78506) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |