| NPI | 1164992558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00982) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4627-NU-NU) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |