| NPI | 1649819707 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005979)  | 
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NC L005979)  | 
| Enumeration Date | 2020-01-06 | 
| Last Update Date | 2020-01-06 |