| NPI | 1235686429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 01012253) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC 01012253) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |