| NPI | 1871205419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008040) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86157058) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-04-24 |