| NPI | 1639529191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 1076952) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 32952DI-0) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |