| NPI | 1114496064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4250) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 4250) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2019-10-28 |