| NPI | 1649849571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-0010862) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005775) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |