| NPI | 1629413703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 1010174) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN004100) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-06-18 |