| NPI | 1912579079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 86211182) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-05-02 |