| NPI | 1790392009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86110117) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2022-11-30 |