| NPI | 1720188394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01094) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC D1111) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2026-02-03 |