| NPI | 1487193314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD 815577) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: MD DX2490) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |