| NPI | 1154657807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND3117) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND3117) |
| 133V00000X Dietitian, Registered (Licence: FL ND3117) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2024-04-29 |