| NPI | 1548545049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006015) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-143242) |
| 133V00000X Dietitian, Registered (Licence: AK 259) | |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2024-07-28 |