| NPI | 1689219404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004989) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-01-13 |