| NPI | 1740479682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 926862) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 2587) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2018-06-28 |