| NPI | 1699432096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2021038178) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 4152) |
| 133V00000X Dietitian, Registered (Licence: MN 5324) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-09-16 |