| NPI | 1982875142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 001808) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 637) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2023-12-18 |