| NPI | 1508405788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2003000969) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 896355) |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |