| NPI | 1225758006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86325251) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10225819) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |