| NPI | 1023556123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-896) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10172217) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-12-18 |