| NPI | 1538600366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86052683) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-09-01 |