| NPI | 1700410461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86063552) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 2024) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |