| NPI | 1982014429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1076966) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10190614) |
| 133V00000X Dietitian, Registered (Licence: AK 185410) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-10-01 |