| NPI | 1578167896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86101073) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005654) |
| 133V00000X Dietitian, Registered (Licence: MD DX4643) | |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2022-12-07 |