| NPI | 1730674334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 709393) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002150) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |