| NPI | 1497369714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86132774) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-09-03 |