| NPI | 1780057760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006089) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 1108647) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-09-01 |