| NPI | 1992369300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D2190) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2837) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-09-30 |