| NPI | 1194900233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 956752) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2024-03-01 |