| NPI | 1558950857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86066778) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100001146) |
| 133V00000X Dietitian, Registered (Licence: MD DX4906) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-08-31 |