| NPI | 1629600598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1105640) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3345) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |