| NPI | 1568028348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005783) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 8360) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-10-20 |