| NPI | 1497870869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD dx5262) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D0997) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-04-18 |