| NPI | 1184380289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86066558) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-03-07 |