| NPI | 1245508167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN0000628) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 1038153) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2021-02-19 |