| NPI | 1619739703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 9251) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 006315) |
| 133V00000X Dietitian, Registered (Licence: LA 3614) | |
| 133V00000X Dietitian, Registered (Licence: NY 011193-01) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |