| NPI | 1730659566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 836926) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 836926) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |