| NPI | 1609601251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 293831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WV 1466) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |