| NPI | 1083966758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3995) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0652) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2023-12-06 |