| NPI | 1962093443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86096966) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: UT 86096966) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |