| NPI | 1831855972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01064658) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004179) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |