| NPI | 1508282153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 158) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-52027) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2023-03-22 |