| NPI | 1740539741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: SC 1313) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: SC 1313) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: TN 0000001606) | |
| 133V00000X Dietitian, Registered (Licence: SC 1313) | |
| 133V00000X Dietitian, Registered (Licence: TN 0000001606) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: TN 0000001606) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-07-21 |