| NPI | 1538711213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 0219) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 2298) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |