| NPI | 1073993978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86022655) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN005596) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |