| NPI | 1013315506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 687938) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-04-27 |