| NPI | 1033629399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 39619-DI-0) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 86038176) | 
| Enumeration Date | 2017-10-01 | 
| Last Update Date | 2020-08-05 |