| NPI | 1174066260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006483) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DE DN-0000798) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2023-10-17 |