| NPI | 1982986105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 998008) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2020-04-22 |