| NPI | 1639887441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1360) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86103388) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-30 |