| NPI | 1235522715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 149) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WY 149) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |