| NPI | 1548675093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3550) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-10-11 |