| NPI | 1992114649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-141331) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3099) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2024-05-22 |