| NPI | 1609539881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 12520033-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 86132664) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-01-30 |