| NPI | 1801449657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 86038767) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5493) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-08-04 |