| NPI | 1811310360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 810997) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-360) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2021-02-04 |