| NPI | 1598504722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS 86119797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D2084) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-28 |