| NPI | 1730602889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1072530) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7782) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |