| NPI | 1649643966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000981) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4833) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2022-01-12 |