| NPI | 1174971774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000290) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2745) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |