| NPI | 1639595887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2436) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1964) |
| 133V00000X Dietitian, Registered (Licence: TX DT86634) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-11-20 |