| NPI | 1790076883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 919705) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001415) |
| 133V00000X Dietitian, Registered (Licence: NC 919705) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-09-24 |