| NPI | 1548696909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004242) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L004242) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L004242) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-05-06 |