| NPI | 1316484355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10189410) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2020-01-21 |