| NPI | 1811471675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 915741) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-01-08 |