| NPI | 1568127371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 861744789) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 86174789) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |