| NPI | 1518446848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 074.0131026) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006238) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |