| NPI | 1700919065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003025) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: PA 922760) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN003025) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-08-03 |