| NPI | 1215175575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000131) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2584) |
| 133N00000X Nutritionist (Licence: VA 916730) | |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2017-10-19 |