| NPI | 1447523634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 928284) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100001130) |
| 133V00000X Dietitian, Registered (Licence: MD DX3210) | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2021-09-24 |