| NPI | 1932746260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 86102103) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005973) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2025-04-29 |