| NPI | 1912666173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003062) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-01-31 |