| NPI | 1457951071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 4903-NU-NU) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 299) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |