| NPI | 1093113029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 1050617) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003836) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2016-12-02 |