| NPI | 1679862890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001650) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 727007) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2025-04-24 |