| NPI | 1821535550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 01034) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 335) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-03-09 |