| NPI | 1487201703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2021034269) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1935) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-08-24 |