| NPI | 1740011493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86144665) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86144665) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-14 |