| NPI | 1699373761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX5182) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD 86173142) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-02-04 |