| NPI | 1669918082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86048401) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND7155) |
| 133N00000X Nutritionist (Licence: TX DT84670) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-03-19 |