| NPI | 1972157782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86173104) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-06-07 |