| NPI | 1295820553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 859065) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-05-05 |