| NPI | 1760991442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI 01010) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3711) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-08-30 |