| NPI | 1477071173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1911) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PR 1911) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-07-02 |