| NPI | 1437793031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2923) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 152557) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2021-05-17 |