| NPI | 1376789503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN001424) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: PA DN001424) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2019-05-12 |