| NPI | 1659029122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 121085) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005275) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-05-30 |