| NPI | 1710376991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND7130) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 7130) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-04-09 |