| NPI | 1639224280 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 11832) | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education | 
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2022-07-21 |