| NPI | 1013036102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 959616) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-07-23 |