| NPI | 1386022622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86063482) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: 86063482) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |