| NPI | 1578932844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3838) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2021-07-07 |