| NPI | 1598124471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86047445) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN005911) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-07-18 |