| NPI | 1043788821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NC L005612) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005612) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-12-28 |