| NPI | 1750488540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 838488) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 00838488) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-06-15 |