| NPI | 1619431434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7756) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L007525) |
| 133V00000X Dietitian, Registered (Licence: SC 2737) | |
| 133V00000X Dietitian, Registered (Licence: PA DN008336) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2024-08-02 |