| NPI | 1821683194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: KS 2624) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: TN 5320) |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: KY 300129) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-07-31 |