| NPI | 1003836438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA R366482) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN001330) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-04-23 |