| NPI | 1770038325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004955) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1537) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-01-27 |