| NPI | 1568901270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 766) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 766) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: PR 766) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |