| NPI | 1508004078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 32949DI-0) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 723996) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2021-02-22 |