| NPI | 1649760455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 2543) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D1630) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |