| NPI | 1518401884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86061632) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM NDP-2023-0033) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-10-11 |