| NPI | 1699431502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1101X Dietitian, Registered, Nutrition, Gerontological |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |