| NPI | 1245895408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005729) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC LRD.2214) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-05-11 |