| NPI | 1184279150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006218) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-03-02 |