| NPI | 1831654920 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86013022)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| 133N00000X Nutritionist | |
| Enumeration Date | 2019-02-04 | 
| Last Update Date | 2020-09-16 |