| NPI | 1629569454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86028977) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-01-02 |