| NPI | 1427530781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4226) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006915) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-05-14 |