| NPI | 1063082311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5021) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-07-21 |