| NPI | 1710308804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LDD10158487) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-778) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2019-08-15 |