| NPI | 1326483926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 1073202) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 3475) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2014-11-08 |