| NPI | 1114149895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 859) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2436) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-10-25 |