| NPI | 1194372144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT 86131643) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MT MED-NUTR-LIC-78436) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-01-08 |