| NPI | 1851755680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1651) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS 1063048) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-04-23 |