| NPI | 1720096795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: HI 813064) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI LD-188) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-03-31 |