| NPI | 1265974703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000875) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX4067) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |