| NPI | 1841724085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L0005555) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 86040248) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2020-02-17 |