| NPI | 1023499613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 954568) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-12-26 |