| NPI | 1730604513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 9893745-4901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006221) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-02-06 |