| NPI | 1992042295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01019410) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 1019410) |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: 01019410) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2025-08-05 |