| NPI | 1053875427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007174) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-12-05 |