| NPI | 1043562572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004926) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 1100738) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-08-20 |