| NPI | 1871225573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 4057) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2827) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |