| NPI | 1063068880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61219041) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08893) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-12-23 |