| NPI | 1730684986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4338) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86075608) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |