| NPI | 1447532239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 003849) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 4940) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2022-07-21 |