| NPI | 1770360943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 61492043) |
| 133V00000X Dietitian, Registered (Licence: PA DN008290) | |
| 133V00000X Dietitian, Registered (Licence: NY 11664) | |
| 133V00000X Dietitian, Registered (Licence: WI 5315-29) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-11-16 |