| NPI | 1558808592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005407) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NC L005407) |
| 133V00000X Dietitian, Registered (Licence: MA 4213) | |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2019-02-20 |