| NPI | 1306294244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: MD D01213) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: D01213) |
| 133V00000X Dietitian, Registered (Licence: MD D01213) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-05-10 |