| NPI | 1700277225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-197) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID 807483) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2024-04-05 |