| NPI | 1861756264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004777) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3230) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-11-28 |