| NPI | 1679071245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID 6961564) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 86092242) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-12-09 |