| NPI | 1801361183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-69119) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 69119) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-11-18 |