| NPI | 1881060143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD Dx3870) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 1088831) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-07-24 |