| NPI | 1861094864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 85007598) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002569) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |