| NPI | 1528601804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 801329) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |