| NPI | 1710498563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 2798) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86037526) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-03-28 |