| NPI | 1588041032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000832) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD DX3677) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-07-14 |