| NPI | 1225795966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074.0134154) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 0922) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |