| NPI | 1861930323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN0000663) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006104) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2018-05-03 |