| NPI | 1871585323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00636) |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: IA 00636) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-10-15 |