| NPI | 1760003883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR D-10233696) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-09-26 |