| NPI | 1023527835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 2040) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004620) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-01-19 |