| NPI | 1760683544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 103949) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: 725636) |
| 133V00000X Dietitian, Registered (Licence: 725636) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-11-28 |