| NPI | 1487803250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2857-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 546) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-03-28 |