| NPI | 1689298986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3533) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86116876) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-11-04 |