| NPI | 1184169583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 2010) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 2010) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2017-07-28 |