| NPI | 1912546177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86017100) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10192004) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |