| NPI | 1528535325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 001273) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001406) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |