| NPI | 1467285411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L0066600) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86110616) |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-10-19 |