| NPI | 1689334955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0795) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-91319) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |