| NPI | 1730671363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 1601) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-1493) |
| 133V00000X Dietitian, Registered (Licence: OH 893623) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-09-22 |