| NPI | 1548517915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00379) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4215) |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2020-04-27 |