| NPI | 1639331481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: HI 145-D) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 647811) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-03-03 |