| NPI | 1528785920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007093) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1060) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |