| NPI | 1386269991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4662) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD 17432) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |