| NPI | 1548629850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000448) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3601) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2017-03-01 |