| NPI | 1699314302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 86089300) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2024-07-01 |