| NPI | 1851950893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 3411) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 86173083) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2020-12-31 |