| NPI | 1669194635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC LRD2436) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006641) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |