| NPI | 1962086967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006348) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86168337) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-08-11 |