| NPI | 1063791903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 282929) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MS D1480) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2024-10-22 |