| NPI | 1720451636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN LDN0000002789) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY BDNDTN00194189) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |