| NPI | 1881348167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005290) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5570) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |