| NPI | 1639648405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 926097) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 1487) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |