| NPI | 1639710858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 097776) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-09-08 |