| NPI | 1891154175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024025878) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2014030567) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-09-08 |