| NPI | 1659405512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 131) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 726464) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-04-26 |