| NPI | 1619204138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5200) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 918376) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-01-04 |