| NPI | 1417585381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1101X Dietitian, Registered Nutrition, Gerontological |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |