| NPI | 1669910964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC d1398) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD d01069) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |