| NPI | 1508385162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004478) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000730) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |