| NPI | 1902255961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 39056-DI-0) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-09-30 |