| NPI | 1760280291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI200001801) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6415) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |