| NPI | 1538796933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006711) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-01-19 |