| NPI | 1386153989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004648) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86015153) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-11-25 |