| NPI | 1538203062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 59.001450) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 5374) |
| 133V00000X Dietitian, Registered (Licence: IL 164.004604) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2021-03-29 |