| NPI | 1851864490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 002052) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 009569-1) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-11-06 |