| NPI | 1396928776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 993605) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10198182) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2024-01-08 |