| NPI | 1730605445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005214) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-08-21 |