| NPI | 1700019114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 2198) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37001965A) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2018-09-14 |