| NPI | 1174128698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004464) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: PA DN004464) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |