| NPI | 1417513334 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 86041656) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MO 86041656) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MO 86041656) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |