| NPI | 1104374487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-04-07 |