| NPI | 1699134809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 1082011) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-900) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-03-19 |