| NPI | 1134506033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 2651) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L004580) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-02-27 |