| NPI | 1972923910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD-1123) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004056) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2017-02-16 |