| NPI | 1154768380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3011) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-03-19 |