| NPI | 1588191225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 1062) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005076) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-02-08 |