| NPI | 1265879704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000589) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-11-10 |