| NPI | 1093944654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 117) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WY 117) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2017-12-12 |