| NPI | 1346661279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1859) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1045612) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2019-08-09 |