| NPI | 1952067621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2022006384) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND12076) |
| 133V00000X Dietitian, Registered (Licence: 86107865) | |
| 133V00000X Dietitian, Registered (Licence: OH LD.10040) | |
| 133V00000X Dietitian, Registered (Licence: MN 4942) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-06-11 |