| NPI | 1760872212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10164583) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |