| NPI | 1184257677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 86150314) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VT 074.0134195) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-03-29 |