| NPI | 1407188428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI682) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND3748) |
| 133V00000X Dietitian, Registered (Licence: MD DO2317) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2021-06-02 |