| NPI | 1588110936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 963698) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 32136DI-1) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |