| NPI | 1629467055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 8875465-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1043991) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-12-08 |