| NPI | 1811698939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 182) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 715365) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-06-01 |