| NPI | 1548734742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 2077) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PR 86069514) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-07-08 |