| NPI | 1760999700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86059263) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005281) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |