| NPI | 1346678604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MA 4082) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4082) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2021-11-16 |