| NPI | 1861151136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 132700000X Dietary Manager |
| 156F00000X Technician/Technologist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |