| NPI | 1871807776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D0251) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002453) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-08-24 |