| NPI | 1295334894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4551) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MD DX4551) |
| 133N00000X Nutritionist (Licence: MD DX4551) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2021-03-02 |