| NPI | 1932622784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-0000603) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005777) |
| 133V00000X Dietitian, Registered (Licence: MD DX4000) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |