| NPI | 1366080947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX6165) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4922) |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2023-11-27 |