| NPI | 1487152955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 106466) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SD 0606) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-08-31 |