| NPI | 1659785640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 1114008-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 35596DI-0) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-02-03 |