| NPI | 1699184077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001050) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-08-22 |