| NPI | 1710507561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: ND 1159) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2021-12-16 |