| NPI | 1588431050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86295722) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L007260) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |