| NPI | 1003047440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 812626) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: 812626) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: 812626) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2015-04-30 |