| NPI | 1275022493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: MD 17319) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD DX4376) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-12-20 |