| NPI | 1619444577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006067) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA 86048588) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-12-28 |