| NPI | 1467992693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TN 2226) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 2226) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |