| NPI | 1609299700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN005279) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 133N00000X Nutritionist | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-05-05 |