| NPI | 1578033700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 915167) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6152) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |